It is never to early to start thinking, researching, reading about etc... if you want a med free birth so I thought I would start a discussion for anyone to bring up questions, discuss pros/cons of med free vs epidural or other interventions, share resources for info etc... This is not a place to shame medications, interventions or anything. Only factual information or personal opinions on things please!
This will be my third med free birth- first wasn't by choice and second was because I had already done it once and was actually really happy with a lot of stuff I didn't know went along with med free so I decided to do it again....and now again!
Re: Med Free Birth
With my first I wanted med-free but wasn’t met with a lot of support and didn’t know how to prepare. Had PROM, didn’t go into labor, was induced with cytotec and then pitocin; was completely unprepared for those contractions, and got an epidural. At that point since I didn’t know what was going on with my body or how to handle it, I think the epidural helped me relax. I took a nap and woke up almost fully dilated. I got lucky and had a good epidural— I still had some sensation and control (could feel the urge to push) but no pain. No spinal headaches or anything afterward. I did have an episiotomy which I think could have been avoided were I in a different position. Afterward, though, healing was terrible. After all the IV fluids and things pumped into me I felt TERRIBLE. Was so swollen. Went home from the hospital weighing more than when I went in I was so filled up with water weight. Recovery was definitely the most difficult with my first, who was also my smallest at 6 lb 11 oz.
Second was planned as a hospital water birth but they didn’t have a tub free until I was fully dilated. It was about 11 hours total. The first few were easily manageable. At home I never got to the 5-1-1 they recommended but the contractions were getting longer and I felt it was time so we drove to the hospital. The car ride was terrible with every contraction. Was 7 cm dilated when we arrived and they gave me the decision to wait in the L&D triage area until a tub room was open or labor in a private room until it was ready. I waited in triage for 30-45 minutes then took the private room. Got on the ball then took a warm shower for idk how long— just feeling the hot water on my back is what I needed. After a while I started to question whether I could really do it or should just go ask for the epidural after all. Then got the urge to use the toilet. On the toilet my water finally broke and I realized it was time (because of how I felt, not because my water broke), so I called out to my husband to get the midwife. At some point I threw up. She came in as a nurse came to let me know the tub room was open. It was too late for that! We got the bed propped up and I tried out hands and knees and the labor bar. Preferred hands and knees. After 11 minutes of pushing she was born, maybe 4 hours after we got to the hospital. She was 8 lb 10 oz. Had a very small tear and got a couple stitches but no biggie. Recovery was much easier this time and so was breastfeeding. General info: they did intermittent monitoring but never even so much as an IV port. It was great.
Third was my homebirth water baby. Labor was similar to with my daughter. Hung out on the ball a lot. Took a walk. More ball. Drank a smoothie. Threw it up right before he was born. At some point contacted my doula and midwife team. Doula got there probably 5 hours before he came. Midwife team maybe two hours. Got into an argument with my husband about filling the birth tub (in his mind this baby would come at the same time of day as my daughter did— late at night— and you’re not supposed to fill the tub too soon or the water will cool down) and my doula intervened and got it done. When I got to the point where I was questioning why I was doing this— going “natural” instead of going to the hospital and getting an epidural like all the smarter and more comfortable women— he wasn’t far off from being born. Had him on my hands and knees in the birthing tub in our room. He was born partially en caul, so when his head came out my bag of waters was still intact around him, but it broke as his body was born. He was a biggie at 9 lb 8 oz but didn’t need any stitches or anything. Again had intermittent monitoring once my midwives arrived and recovery wasn’t a beautiful cakewalk or anything but much more manageable than post-meds.
It took about 45 minutes from the moment I decided I wanted an epidural to when I actually got it, then a while for it to kick in. Good time to have coping techniques.
I was amazed at how quickly my SIL bounced back after a med-free birth. It took me a full 24 hours for my epidural to fully wear off, so H had to help me to the bathroom during that time.
Definitely interested in pursuing a med-free birth if everything is low risk this time around.
(3 positive birth stories, i just felt bad for how long they are, so spoilers)
I got the same CNM for my second birth - I was so happy about that! And she had some good laughs with me during labor. Because my water was still intact I kept waiting for the contractions to get as intense as the first time. I was literally twiddling my thumbs in between them, like what do I do with all this time in between? At one point I started worrying they were actually slowing down so I asked them to time one. They smiled, “they’re only a minute apart.” They asked if I wanted to get in the tub, and I said, “I think I’m still ok, you told me last time to wait until I needed it most.” After checking she chuckled and said, “if you wait any longer, it’ll be too late.” Because my waters were still intact, it wasn’t the same crazy difference as the previous time. Awhile later she checked me again and said if she broke them I’d have a baby in my arms really soon, so I went with that. And then the intensity I remembered was back. But no longer tub time! DS6 was sunny side up so I had some back labor when it came to pushing time. The midwife told DH to push on my low back to help relieve it, which did help a lot. So much that I forgot what I was supposed to be doing and scolded him a couple times, “push harder!” Until I remembered that I was the one actually responsible for pushing the baby out
I had a semi-med-free birth with DD6 and we’re planning on another one in a birth center this time. Birth story:
@womeninmotion has a pregnancy prep course from a DPT (doctorate of physical therapy) standpoint. It's fairly neutral as far as med free or not, but she encourages to try to stay mobile as long as possible.
There's a doula on IG I'm forgetting but I'll try to remember to post tomorrow, but she's also super super helpful.
The things that helped me get through it, not in any specific order.
1. The hot water. Seriously, it helped so much more than I expected.
2. Breathing techniques and knowing what sounds to make.
3. DHs hand. I squeezed that thing so hard haha.
DH was beside me the entire time and it helped to know how to breath because he would hear the beginning breath and immediately grab my hand.
The resources I found the most helpful.
1. Prenatal yoga. This wasn't a typical yoga class but with pregnant woman. Every class was something different and there wasn't much yoga involved. One class would be about birthing positions and things the partner can do to help with the pain. One was all about breathing and noises to make. A bunch of women doing squats while roaring like lions was a lot of fun haha
3. Bridget Teyler. I liked her breathing techniques
One thing my MW warned me about was that if the herbal tincture didn't work, she would have to give me oxytocin; which meant I would 100% get an epidural. She explained that natural induction medications like castor oil or herbs just help the body do what it needs to do. Oxytocin starts the contractions and they are intense and fast instead of increasing intensity slowly. Because of this, it is highly likely that an epidural will be required.
I was lucky with my MW. Everyone kept telling me that the beginning contractions were nothing compared to active labor. So before I was in active labor I was thinking that if the beginning ones were this intense, I absolutely would not be able to handle active labor so I asked about an epidural. She sat beside me and explained the pros and cons, and provided alternative options along with their pros and cons. She also said that she didn't think I needed it because I was handling it better than 90% of her clients; but she would get it for me if I wanted it. I decided to continue laboring without any medication and I'm so glad I did. It was hard, very hard and I have zero judgment for people that do want or need medication.
Do what feels right for you. It's your body and your the one going through labor. Also remember that a birth plan is just a plan. Things can change on a dime. So make a plan, and have a back-up and know that you may not be able to stick with any of it.
I did not plan my first med free. I planned on going as far as I could and then getting the epidural, because once you have the epidural, you are on your back (not ideal for a descending baby, increases risk of c-section), you get a urinary cath, no food once you get to the hospital and some other things.
However, I got to the hospital after laboring at home for 4 hours and I was 7 cm dilated, and they discovered I had pre-E. I had no BP issues at my appt just 4 days prior, but now I had a low platelet count, which means I was unable to get an epidural.
Luckily I just listened to my body. I was like 'people have been doing this for centuries, tune everyone else out and just go with your body', and I did and 3 hours later my son was born, no drugs.
With my second I did no prep either. And with this one I also won't do any prep. I just listen to my body.
I do love on instagram tranquilitybyhehe- shes a very factual doula- she isnt pro or anti epidural, hospital, homebirth, water etc... she is strictly facts and going with evidence based medicine. Because of her site I will be doing a lot more with water this time (not a water birth- the birth center I am at begs you not to actually birth in there but can labor all the way until the end of pushing), and probably pushing more on my hands and squatting, but I adore her.
But have a plan in case you cant get an epidural.
First two kids I went in to get induced at 42 weeks. The string (cervadil?) around the cervix overnight was enough to get me going and I had both kids by 2:30pm after labor started at 6:30 am the morning after placement. Things that got me through-
1) I was already monitored for an hour before labor really began, so I could go wherever I wanted and wasn't hooked up during the first part of labor. I could get in the shower, which helped until transition and I started throwing up.
2) After things got real intense two things helped: 1) a supportive birth coach-my H is a badass doula so I never needed to hire one or worry about docs being around to coach me through. So, whoever that will be for you, the coach is a must, IMO. 2) a mantra. During contractions, having something I thought of to help me breathe and not tense up every.single.time. was a must for me. During every single contraction for my second birth, this is what I thought of (I'll post pic later, its not working for me right now). I repeated "lettuce be merry" and pictured this floating Christmas manatee surrounded by lettuce and that's all I focused on. People probably thought I was nuts when I said it out loud. I had one for my first too but don't remember it, but same thing. Every time it was almost like a trance, I said the mantra, had the picture, breathed and relaxed my body.
TW child loss
Like I said, even with the less than ideal doctor, the surprise episiotomy, and the semi numb legs for 20 minutes after birth-recovery was fine. I have no negative thoughts about the experience. So, while this thread is for people who are thinking about med free births, I just wanted to offer up my birth story as a positive medicated birth story, as I know so many people go med free after having a really bad one!
Just wanted to share some positivity and light for those who might want a natural birth but might not have the option due to needing to be induced, etc.
We went to 8 weeks of 3-hour Bradley classes with a plan of going med-free in-hospital - paid for a doula, did a ton of prep, etc. At 40+2 I was diagnosed with Oligohydramnios (low amniotic fluid; typically diagnosed as less than 10cm, certainly less than 5cm, I was at 0.6cm) and had to be induced. If you want to hear about how that went I'll put it in a spoiler below.
I negotiated with the OB on-call. I was allowed to continue taking fluids by mouth if I got the hep-lock IV, but didn't need to have IV fluids if I met the requirement by mouth. I was allowed to continue eating, etc. I spend a lot of my energy day-to-day trying to tone down how overbearing and pushy I can be, and when I'm in pain that all falls away so I just become a really horrible person to be around lol. So I think she gave in to more of the requests than she maybe would have otherwise.
They set me up for the induction around 10pm, placed cervidil at my cervix because I was only 1cm dilated, and told me it would be an extremely long few days. I'd have cervidil for 12 hours overnight, it would be really boring and I would sleep. At 10am they'd let me eat, shower, and then they'd setup the Pitocin, and that's probably when I'd want to call my doula to come. It would probably be at least 24 hours after that that baby would be born. My doula agreed this was a solid timeline and plan.
Well about an hour after they placed the cervidil isht got REALLY painful. I was SCREAMING in pain. And everyone kept telling me this is the easy part. And I was like how the eff am I supposed to handle the hard part if this is the easy part? It felt like my pelvis was being ripped in half. The hyper-mobility I'd experienced throughout my pregnancy became extreme - I felt like my right leg was going to fall out of socket. My contractions were right on top of each other - long, intense, right around 2+1+1 right from the jump. The PA I had with me didn't like doing too many cervix checks, so she didn't check me.
At 1am I started to panic that I was going to have to go through possibly more than 36 hours of this being the easy part. I negotiated a deal with the on-call OB to remove my cervidil and let me sleep for 6 hours. She said the contractions would stop, and they'd never agree to this except I was being so annoying lol because hospitals don't like you to be in the hospital "doing nothing" which is what the case would be if they removed the cervidil and I didn't immediately start pitocin. So I was like okay, they'll remove the cervidil, this pain will stop, I'll sleep a little, I'll wake up, eat, start pitocin, call my doula.
Well, of course the contractions never stopped. They got more and more intense. And of course none of us - not me, not my husband, not our doula, not the PA, not the OB, not our nurses - put together that OF COURSE THIS WAS GOING TO BE INTENSE AND FAST: I HAD NO AMNIOTIC FLUID!
An hour later I begged for the epidural, cursed out the anesthesiologist while he placed it, and I was fully dilated like an hour later. So.
All in all, I was really happy with my birth experience still. I had the epidural for a really short amount of time, I never had to have pitocin, I felt like my providers listened to me (maybe too much? eek). I wish I hadn't been so angry in the beginning about it all, though. And I wish I hadn't been SO fearful that an epidural would stop my labor from progressing - for some women they need the epidural to relax their pelvic floor enough for it to get out of the way (your pelvic floor does NOT push during labor, it has to relax).
regardless of how it happens. Have a birth plan if that’s up your alley, but be prepared to deviate if needed and don’t blast yourself for changing things. You don’t know how it’s going to go until it’s going. I have patients that are just absolutely devastated because they couldn’t do xyz on their plan for whatever reason, and although I don’t deny that psychological trauma exists from birth plans gone horribly wrong I do think it’s awful to place blame on yourself when stuff doesn’t go the way you thought it would because some random stranger on the Internet had an “easy” delivery.
Well an emergency c-section gives you no choice at all. In the end it really wasn't that bad. I was pretty nauseous afterwards and threw up a couple times. But I think that had a lot to do with the fact that they wheeled my entire bed into the NICU to see DS5 and then back up to the 8th floor for recovery. I've had to give up my dream of a med free birth, and I'm mostly ok with it (I don't qualify for vbac). Every once in a while I get sad, but not too much. I'm really hoping to be able to BF this time since I wasn't able to last time and had to EP.
I think, as other ladies have said, is to have a plan but ultimately to remain flexible. Plans change and they can change very quickly. Being mentally prepared for inevitable changes will help you to navigate the wild world of birthing a child regardless of how things work out!
For any FTM that want to do a natural labor, looking into the progression of labor and understanding the stages will help you immensely. Basically the hardest part is when you're almost there, and for me, that is encouraging. When I start to feel like I can't do it, I'm getting close to the finish line.
Things that helped me prepare were:
1) Prenatal yoga and breathing techniques
Things that helped in labor:
4) Sipping on a cold electrolyte beverage as allowed/able and with my birth center labors, I reached a point before transition when I HAD to have a granola bar and was allowed to in that setting whereas I wouldn't have been in the hospital.
So use your judgement, but what's a granola bar going to hurt?
Also - pure curiosity, in the case that you mentioned above, would they intubate you for the csection? (outside of the fact that they probably would because of urgency and can't wait for epidural) That would be kind of a bummer.